Cross, Brian

Cross, Brian is an individual health care provider with primary practice located at 1001 N Tustin Ave , Santa Ana CA 92705-3502. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cross, Brian can be contacted via phone (714) 953-3515.

Contact Information

Primary practice address
1001 N Tustin Ave Santa Ana CA 92705-3502
Phone: (714) 953-3515
Fax: (714) 953-4259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G40254 California

Profile Details

NPI number 1720072002
LBN Legal business name Cross, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720072002 NPPES
California MEDICAID 00G402541

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